Cori Alex Moberg

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

604 1/2 N 21St St
Bismarck, ND 58501-4803

Phone

(701) 460-1033

NPI assigned

Sep 8, 2015

Last updated

Sep 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1801264973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 1/2 N 21ST ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014803",
            "telephone_number": "701-460-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 1/2 N 21ST ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014803",
            "telephone_number": "701-460-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBERG",
        "first_name": "CORI",
        "middle_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica F Mittleider, PA-C
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• Julie M Mitzel, LPC
• Melissa Mitzel
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• Bonita Moch
• Danelle F Moch, O.D.
• Ella Harmony Moch, LMT
• Kathryn Mary Moch, RN BSN CDE
• Paula Moch, FNP-BC

• Athletic Trainer in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Athletic Trainer in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.